Hometown Market , INC
NPI #1932980513 in Tupelo, Mississippi
Provider Information
- NPI Number
- 1932980513
- Entity Type
- Organization
- Organization Name
- Hometown Market , INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- HOME TOWN MARKET INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Oct 10, 2023
- Last Updated
- Oct 10, 2023
Practice Location
- Address
- 1906 S GLOSTER ST
- City
- Tupelo
- State
- Mississippi
- ZIP Code
- 38801-6543
- Phone
- (662) 591-5254
Authorized Official
- Name
- CHRISTOPHER JARVENE SHACKELFORD, RPH
- Title
- PHARMACY DIRECTOR
- Phone
- (662) 591-5234
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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| DR. Leslie Blaylock, PHARMD |
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| Wal-Mart Stores East LP | |
| Westside Pharmacy & Gifts | |
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